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首页> 外文期刊>Journal of the Neurological Sciences: Official Bulletin of the World Federation of Neurology >Quantifying iron deposition in the cerebellar subtype of multiple system atrophy and spinocerebellar ataxia type 6 by quantitative susceptibility mapping
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Quantifying iron deposition in the cerebellar subtype of multiple system atrophy and spinocerebellar ataxia type 6 by quantitative susceptibility mapping

机译:通过定量敏感性测绘,量化多系统萎缩和纺纱机构型号6的小脑亚型亚型中的铁沉积

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摘要

We used quantitative susceptibility mapping (QSM) to assess the brain iron deposition in 28 patients with the cerebellar subtype of multiple system atrophy (MSA-C), nine patients with spinocerebellar ataxia type 6 (SCA6), and 23 healthy controls. Two reviewers independently measured the mean QSM values in brain structures including the putamen, globus pallidus, caudate nucleus, red nucleus, substantia nigra, and cerebellar dentate nucleus. A receiver operating characteristics (ROC) analysis was performed to assess the diagnostic usefulness of the QSM measurements. The QSM values in the substantia nigra were significantly higher in the MSA-C group compared to the HC group (p?=?.007). The QSM values in the cerebellar dentate nucleus were significantly higher in MSA-C than those in the SCA6 and HC groups (p?
机译:我们使用定量敏感性测绘(QSM)来评估28例患有多种系统萎缩(MSA-C)的大脑亚型患者的脑铁沉积,九个患者的纺丝大脑共济失调6型(SCA6)和23例健康对照。两位审稿人独立地测量了脑结构中的平均QSM值,包括腐库,Globus pallidus,尾状核,红色核,体内NIGRA和小脑牙齿核心。进行接收器操作特性(ROC)分析以评估QSM测量的诊断有用性。与HC组相比,MSA-C组中的QSM值在MSA-C组中显着较高(P?= 007)。小脑齿状核中的QSM值在MSA-C中显着高于SCA6和HC基团(p?<= 001),与HCS相比,SCA6患者中显着降低了(P?= 027 )。小脑齿状核中的QSM值与MSA-C中的疾病持续时间相关,但与SCA6中的疾病持续时间相反。在ROC分析中,小脑齿状核中的QSM值表现出极好的精度,用于区分MSA-C从SCA6(曲线[AUC],0.925),以及从健康对照区分MSA-C的良好精度(AUC 0.834)。 QSM可以在MSA-C患者中识别体内NIGRA和小脑牙齿核的增加易感性。这些结果表明,小脑齿状核中的铁积累的增加可以是与MSA-C相关的神经变性的次级。

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